Individual provider Active NPI

Sai Suvarchala V Singaraju

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
National Provider Identifier
1366099335
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
039401 Issued in NY
Practice address
1775 Grand Concourse FL 6
Bronx, NY 10453-8202
Phone
(718) 579-3940
Fax
(718) 518-5818
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 039401 NY Primary

Addresses

Primary practice location

1775 Grand Concourse FL 6
Bronx, NY 10453-8202

Mailing address

1775 Grand Concourse FL 6
Bronx, NY 10453-8202
Phone (718) 579-3940

Other practice location 1

1775 Grand Concourse Fl 6
Bronx, NY 10453-8202
Phone (718) 579-3940

Other practice location 2

126 Clifton Pl Apt 202
Jersey City, NJ 07304-6150
Phone (732) 331-3326

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.bronxcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200520000236 NY Practitioner - Physical Therapist in Private Practice 3577994979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System CurrentSince Apr 13, 2020 Accepting new patients
Bronxcare Health System Current Accepting new patients
Bronxcare Health System CurrentSince Apr 13, 2020 Accepting new patients

Locations

1775 Grand Concourse
Fl 6
Bronx, NY 10453
Phone (718) 901-8110

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1276 Fulton Ave
Rm 219
Bronx, NY 10456

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1366099335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 GRAND CONCOURSE FL 6",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538202",
            "telephone_number": "718-579-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GRAND CONCOURSE FL 6",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538202",
            "telephone_number": "718-579-3940",
            "fax_number": "718-518-5818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Grand Concourse Fl 6",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104538202",
            "country_code": "US",
            "telephone_number": "718-579-3940",
            "fax_number": "718-518-5818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Clifton Pl Apt 202",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073046150",
            "country_code": "US",
            "telephone_number": "732-331-3326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGARAJU",
        "first_name": "SAI",
        "middle_name": "SUVARCHALA V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "039401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.bronxcare.org/",
            "affiliation": "N",
            "endpointDescription": "BronxCare Hospital website",
            "address_1": "1775 Grand Concourse Fl 6",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104538202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.